| NPI | 1811033061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA O ALABI Human Service Manager 651-478-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-09-04 |